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Anaesthetic Management of Parturient with Sickle Cell Disease and Uncontrolled Hypothyroidism for Emergency Appendicectomy


Affiliations
1 Ramaiah Medical College and Hospital, Bengaluru, India

Sickle cell disease (SCD) is a rare clinical disorder characterised by chronic anaemia and episodes of vaso-occlusive crisis. Hypothyroid patients need additional levothyroxine supplementation during pregnancy1. Physiological changes of pregnancy add on to stress and may precipitate vaso-occlusive crisis and result in significant cardiorespiratory complications2. Surgery and anaesthesia during first trimester of pregnancy is avoided due to risk of miscarriage.

Keywords

Sickle Cell Anemia, Hypothyroidism, Pregnancy, Emergency Surgery.
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  • Tammy J B, Mary H. Management of hypothyroidism during pregnancy. CMAJ 2007: 176(8); 1077.
  • Brett. I. D, David J. B, Daniel. M. T. Anaesthesia for the parturient with sickle cell disease. Journal of clinical anaesthesia 1996.8:598-602

Abstract Views: 838




  • Anaesthetic Management of Parturient with Sickle Cell Disease and Uncontrolled Hypothyroidism for Emergency Appendicectomy

Abstract Views: 838  | 

Authors

B. S. Divya
Ramaiah Medical College and Hospital, Bengaluru, India
P. S. Vinayak
Ramaiah Medical College and Hospital, Bengaluru, India

Abstract


Sickle cell disease (SCD) is a rare clinical disorder characterised by chronic anaemia and episodes of vaso-occlusive crisis. Hypothyroid patients need additional levothyroxine supplementation during pregnancy1. Physiological changes of pregnancy add on to stress and may precipitate vaso-occlusive crisis and result in significant cardiorespiratory complications2. Surgery and anaesthesia during first trimester of pregnancy is avoided due to risk of miscarriage.

Keywords


Sickle Cell Anemia, Hypothyroidism, Pregnancy, Emergency Surgery.

References





DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP094